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  • Title: Spontaneous intrauterine pregnancy after unilateral placement of tubal occlusive microinsert.
    Author: Omurtag K, Pauli S, Session D.
    Journal: Fertil Steril; 2009 Jul; 92(1):393.e15-7. PubMed ID: 19403129.
    Abstract:
    OBJECTIVE: To present a case in which the use of a titanium/nickel microinsert in the management of unilateral hydrosalpinx contributed to a spontaneous intrauterine pregnancy. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 37-year-old nulligravid female with dense pelvic adhesive disease and unilateral hydrosalpinx. INTERVENTION(S): Unilateral proximal occlusion of left fallopian tube with titanium/nickel microinsert. MAIN OUTCOME MEASURE(S): Pregnancy. RESULT(S): Spontaneous intrauterine pregnancy after confirmation via hysterosalpingogram of left tubal occlusion and right tubal patency. CONCLUSION(S): Transcervical proximal tubal occlusion using titanium/nickel microinserts provides an alternative in the management of hydrosalpinx in the setting of tubal factor infertility. Additionally, in the setting of a unilateral hydrosalpinx, unilateral occlusion can contribute to spontaneous intrauterine pregnancy.
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